102105 GRAND APPLIANCE AND TV itY
INDIANA RETAIL TAX EXEMPT Page 1 of 1
1 ®f Iairrrie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102105
ONE CIVIC SQUARE 35-6000972 IS ER MUSTDELIVERY APAR VOIS,AIVOVT HO
MEMOPE ,PACKINGINSLIPS,
SHIPPING LABELS AND ANY
CARMEL, INDIANA 46032-2584 CORRESPONDENCE CEP
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
O. VENDOR NO.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NON
11/8/2018 371994 TV's-Sta.45,BCDESCRIPTI,Admin Chief
GRAND APPLIANCE AND TV Fire Department
VENDOR 10301 ENTERPRISE WAY SHIP 2 Civic Square
TO Carmel, IN 46032-
STURTEVANT,WI 53177-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30820
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund.' 102 Ambulance Capital Fund
Account: 44-670.07
1 Each 43UK6090-43"4k SmartTV $318.00 $318.00
2 Each UN5ONU7100-50"4k SmartTV $439.00 $878.00
Sub Total $1,196.00
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Send Invoice To: .-._-
Fire Department \ `Q r '
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2 Civic Square ,
Carmel, IN 46032- A
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,196.00
SHIPPING INSTRUCTIONS *AQP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ;- /
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'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ~
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Denise Snyder \
TITLE Budget&Accreditation Manager
CONTROL NO. 102105 CLERK-TREASURER